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心得安对循环血甲状腺激素的影响

EFFECT OF PROPRANOLOL ON CIRCULATING T4, T3, rT3 AND TSH IN PATIENTS WITH HYPERTHYROIDISM

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【作者】 王湘兵胡敏伍汉文超楚生朱淑华

【Author】 Wang Xiangbing et al.Department of Internal Medicine, Second Affiliated Hospital, Hunan Medical College

【机构】 湖南医学院第二附属医院内分泌研究室湖南医学院第二附属医院内分泌研究室

【摘要】 本文报告10例心得安单独治疗甲亢患者的血清T3、T4、rT3及TSH,体重和甲状腺诊断指数的变化。心得安可使甲亢患者的T3降低,rT3升高,TSH升高,血T4无明显变化,体重增加和甲亢诊断指数降低。T3的降低可能由于心得安选择性抑制5'脱碘酶所致,并对其临床意义进行了讨论。

【Abstract】 Concentrations of circulating T4, T3, TSH, and rT3, together with body weight and diagnostic index of thyrotoxicosis were measured in 10 patients with hyperthyroidism treated with propranolol alone. Following treatment circulating T3 fell, rT3 and TSH increased, while T4 remained unchanged. It was suggested that the_main mechanism of these changes mentioned should result from the inhibitory action of the drug on peripheral conversion of T4 to T3.

  • 【文献出处】 中华内分泌代谢杂志 ,Chinese Journal of Endocrinology and Metabolism , 编辑部邮箱 ,1987年01期
  • 【被引频次】6
  • 【下载频次】26
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